Synopsis: In order to better understand what happens once a parent contacts a childrenÕs mental health center for help with their childÕs psychosocial problems, the current study examined factors associated with (1) a pattern of contacting two or more different mental health providers (high-volume) versus one agency and (2) a pattern of simultaneous service utilization across different mental health service providers versus non-simultaneous. The strongest predictor of high-volume help seeking was parental history of mental health service use. The simultaneous pattern of service utilization was associated with more severe child internalizing problems. Further analyses explore why parents may follow these patterns.